Predoctoral Internship Program in Psychology

Horizon Health Network, Area 3
Predoctoral Internship in Clinical Psychology
Match Number: 185111
Fredericton, New Brunswick
Program Brochure 2015-16
Last Updated: May 2015
TABLE OF CONTENTS
Introduction
The Community.................................................................................................
Horizon Health Network (Fredericton & Woodstock Areas)...........................
The Dr. Everett Chalmers Regional Hospital (DECRH)....................................
The Stan Cassidy Centre for Rehabilitation (SCCR)..........................................
Community Mental Health Centres (CMHC)..................................................
Operational Stress Injury Clinic (OSI)..............................................................
Upper River Valley Hospital (URVH).............................................................
3
4
5
5
6
6
7
The RVH Internship Program in Psychology
Overview...........................................................................................................
Our Philosophy and Mission...........................................................................
Curriculum and Objectives..............................................................................
Stipend and Benefits........................................................................................
Accreditation...................................................................................................
Supervision.....................................................................................................
Physical Facilities/Support Services...................................................................
Evaluation.......................................................................................................
Didactic Sessions..............................................................................................
Sample schedule..............................................................................................
8
9
10
11
11
11
12
12
13
14
Description of Rotations
Overview............................................................................................................
Adult Mental Health – DECRH........................................................................
Adult Health/Mental Health – URVH..............................................................
Health Psychology – DECRH...........................................................................
Rehabilitation & Health Psychology – SCCR....................................................
Neuropsychology – DECRH............................................................................
Neuropsychology – SCCR................................................................................
Operational Stress Injury Clinic (Adult Mental Health) – OSI...........................
Pediatric Health/Mental Health (minor only) – CMHC....................................
15
16
17
18
19
20
20
21
22
Faculty
List of Faculty at DECRH.................................................................................
List of Faculty at SCCR....................................................................................
List of Faculty at CMHC..................................................................................
List of Faculty at URVH...................................................................................
List of Faculty at OSI.......................................................................................
23
25
27
29
30
Application Procedures
Eligibility and Application Procedures .............................................................
Tips for Interviewees.......................................................................................
31
32
The Community
Fredericton is the capital city of
New Brunswick and is located in
the beautiful St. John River
Valley. With a city population of
approximately 56,000 and a
greater metro population of
105,000, Fredericton offers the
amenities of a larger city with the
feel of a small city.
Fredericton has affordable
housing, clean and quiet streets,
community and recreational
activities, excellent daycare centres, shopping, theatre and festivals, public transit, and several
restaurants. Fredericton is also proud to be home to two universities: St. Thomas University and
the University of New Brunswick.
In the summer, spend your time on the banks of the St. John River. Fredericton is home to
hundreds of kilometers of running/cycling trails, the beautiful Odell Park, the Playhouse, the
Beaverbrook Art Gallery, the Harvest Jazz and Blues Festival, the Boyce Farmer’s Market, the
historic Garrison District, and Picaroons (our local brewery).
In the winter, enjoy hundreds of kilometers of cross-country skiing trails, skating in lovely
outdoor rinks, downhill skiing at Crabbe Mountain, or attend one of the many winter festivals
(e.g., Shivering Songs Festival, Frostival, and Winterfesthiver).
Due to its central location, Fredericton is also a great place from which to explore the Maritime
Provinces. Day trips to the Bay of Fundy (Atlantic Ocean; 1hr drive), the Saint Martin UNESCO
Sea Caves (1.5hr drive), Saint John (1hr drive), Moncton (1.5hr drive), the Hopewell Rocks (2hr
drive), and the Northumberland Strait (the warmest waters north of the Carolinas; 2hr drive) are
all just a short drive away. Explore Prince Edward Island (3hr drive), Halifax (4hr drive), and the
Cabot Trail in Cape Breton (6hr drive) on a weekend trip.
For more information on Fredericton and New Brunswick:
www.tourismfredericton.ca/
www.tourismnewbrunswick.ca/
Horizon Health Network (Fredericton Area)
The Horizon Health Network is a unified health authority for
the Anglophone areas of New Brunswick.
http://en.horizonnb.ca/
The ‘River Valley Health Fredericton’ Internship program is set in the Fredericton and Upper
River Valley Areas of the Horizon Health Network (formerly the River Valley Health Region). It
is currently comprised of five settings:





Dr. Everett Chalmers Regional Hospital (DECRH)
Stan Cassidy Centre for Rehabilitation (SCCR)
Two Community Mental Health Centres (CMHC)
Operational Stress Injury Clinic (OSI)
Upper River Valley Regional Hospital (URVH)
The Dr. Everett Chalmers Regional Hospital (DECRH)
The DECRH is a 330-bed regional hospital serving the
greater Fredericton area and surrounding communities.
5.8 full-time psychologists provide psychological
assessment, psychotherapy, and consultative services to
mental health in-and out-patients (focusing on mood,
anxiety, psychotic, and personality disorders), as well
as oncology, cardiology, diabetic, surgery, and dialysis patients. We also assess and treat patients
with a variety of medical problems from the Family Practice inpatient unit, Geriatric and
Restorative Care, Cardiac Rehabilitation and Pediatric units. All Psychologists are active members
of interdisciplinary teams. Opportunities for group and individual psychotherapy and a broad
range of assessment and consultative procedures are available for interns. The DECRH is currently
undergoing a $200 million renovation.
700 Priestman St., Fredericton, NB.
The Stan Cassidy Centre for Rehabilitation (SCCR)
SCCR is the only provincial centre in New Brunswick
that offers intensive interdisciplinary rehabilitation for
those with complex neurological disorders and
neurodegenerative diseases. Four members of the
psychology staff serve on two interdisciplinary teams.
We offer services to children (e.g., cerebral palsy, spina
bifida, brain and spinal cord injuries, muscular
dystrophy, autism, and other pervasive developmental
disorders) and adults (e.g., moderate to severe acquired
brain injury, spinal cord injury, complex cerebral
vascular accidents, and progressive neurological diseases). We are housed in a new (2006)
facility, with 20 inpatient beds and five transitional living units. We also provide services to many
out-patients. On the adult team, Psychologists are an integral part of an interdisciplinary team,
and provide neuropsychological assessment and consulting, personality and behavioural
assessments, and a wide variety of interventions for mental health concerns. On the
interdisciplinary pediatric team, Psychologists provide neuropsychological, psycho-diagnostic, and
behavioural assessments, and serve as consultants to other caregivers and schools. The SCCR is
connected to the DECRH by skywalk.
800 Priestman St., Fredericton, NB.
Community Mental Health Centres (CMHC)
There are two CMHCs in our catchment area (the
Fredericton Mental Health Centre and the Woodstock
Community Mental Health Centre) with several
satellite/outreach offices in out-lying communities,
which employ a total of six psychologists (although
one is going on parental leave later in 2015).
Psychologists are part of interdisciplinary teams and
provide services to children and adolescents and their
families, as well as to adults and seniors. The clientele
have a wide variety of mental health disorders and
problems, and may require longer-term community-based treatment and/or support. The
Fredericton CMHC provides addiction services, an Early Psychosis Program (EPP), as well as
group psychotherapy for anxiety and depression. Both CMHCs have close ties to consumer selfhelp groups and to the Canadian Mental Health Association.
65 Brunswick St., Victoria Health Centre, Fredericton, NB.
200 King St., Woodstock, NB.
Operational Stress Injury Clinic (OSI)
The Operational Stress Injury Clinic Fredericton is one
of ten OSI Clinics across Canada. It provides a
specialized outpatient program that serves Veterans of
the Canadian Forces, active Canadian Forces members,
and eligible members of the Royal Canadian Mounted
Police (RCMP). An operational stress injury (OSI) is any
constant psychological problem resulting from
operational duties performed while serving in the
Canadian Forces (CF) or as a member of the RCMP.
OSI is used to describe a broad range of problems
which can include diagnosed medical conditions such as anxiety disorders, depression and posttraumatic stress disorder (PTSD) as well as other conditions that may be less severe, but still
interfere with daily functioning. Four psychologists work on an interdisciplinary team of
professionals which includes psychiatrists, social workers, and mental health nurses. Interns’ work
will include psychological assessment, consultation, and intervention, and participation on an
interdisciplinary team.
900 Hanwell Rd., Fredericton, NB.
Upper River Valley Hospital (URVH)
This hospital services the Upper River Valley with both
primary and secondary care, inpatient and outpatient
services, including an emergency department which
provides 24-hour care. It is a 70-bed hospital with
beds designated for obstetrics, surgery and medical
patients, including palliative care and paediatrics.
Surgical services are provided from three operating rooms. The Hospital Psychologist works
across the entire hospital providing psychological assessments and brief interventions for
inpatients. She also provides out-patient services to those with physical health and concomitant
mental health problems. She facilitates a multidisciplinary mental health inpatient team, provides
consultancy for the Healthy Ageing Clinic and offers various in-service training to colleagues.
Due to workload and scheduling concerns, this rotation may not be available next year.
11300 Route 130, Waterville, NB.
The RVH Predoctoral Internship Program in Psychology
An Overview
This 1800 hour, 12-month internship program will appeal to interns wanting comprehensive
training at the pre-doctoral level in a scientist-practitioner atmosphere, with the expectation for
training toward independent practice or academic clinical psychology. In our view, independent
practice requires not only extensive knowledge of psychological assessment, intervention,
consultation, and knowledge of pertinent ethics and professional issues, but also a broad view of
the health care system and complementary community-based services. At present there are two
positions available.
As this internship program offers opportunities to learn in several settings, it provides a wide
variety of training in both traditional mental health assessment and treatment, as well as in
neuropsychology, health, and rehabilitation psychology. At all sites interns will participate
actively as members of interdisciplinary teams. In consultation with faculty, each intern will
choose two major and one minor rotation, dependent upon his or her interests, previous
experience, and the availability of supervision.
At present there are 19 licensed psychologists (11 at the doctoral level) working in six settings, as
well as two additional resident psychologists in the process of obtaining licensure. As a group, we
meet approximately once per month to discuss professional issues.
In accordance with their interests, interns have the opportunity to work with adult mental health
patients on an inpatient and outpatient basis, medical patients with a variety of associated mental
health issues, injured military and RCMP personnel, and adult neurological rehabilitation patients.
All interns, while working on inter-disciplinary teams, have exposure to psycho-diagnostic and
cognitive assessments, and individual and group interventions. Opportunities to work with
children, adolescents, and families are potentially available.
Many of our psychologists and clientele are bilingual/francophone, allowing for training at least
partially in French if desired. However, prospective applicants need not be bilingual as the
majority of the services provided through this internship are in the English language.
Psychologists in our health region are regulated and licensed by the College of Psychologists of
New Brunswick (CPNB). Our theoretical orientations vary among us, but derive primarily from
cognitive-behavioural and interpersonal psychology, with some influence of psychodynamic,
acceptance and commitment therapy, mindfulness, attachment theory, motivational
communication, existential, and systemic theories, as well as neurodevelopmental and
neurocognitive rehabilitation. Although there is some variability depending on area of
specialization, our skills and services include psychological assessment and diagnosis,
psychological treatment, and psychological consultation to clients, their families, and to other
staff/professionals. We offer services in accordance with the relevant legislative acts and
professional standards, guidelines, and codes of ethics.
We supervise not only interns, but also psychology graduate students on practicum placements
and residents (interim members of CPNB in their final year of supervision prior to licensing). We
provide formal education on issues related to the practice of psychology to our fellow staff
members and members of the community. Many of us are Clinical Associates of the Department
of Psychology at the University of New Brunswick, and therefore serve on university committees
and assist with teaching of courses. Finally, opportunities to attend conferences and workshops
for the purpose of continuing education (both in-house and in the community and province) are
available.
Our Philosophy and Mission:
Our psychology internship program grew out of a recognition that we need to be part of the
training of psychologists in New Brunswick. As supervisors, we also recognize the value to our
profession, and to ourselves, of sharing our knowledge and mentoring those seeking to enter our
profession. We recognize that an internship is the place where senior doctoral students develop
their competencies by putting into sustained, active practice the skills and knowledge obtained
through graduate study. As such, interns are supported to engage in diverse roles, and to develop
broad competencies with a variety of populations. Interns are supported in developing
competencies in all key areas of clinical psychology including assessment, diagnosis, intervention,
consultation, case conceptualization, supervision, and professional ethics. Interns receive
progressive independence in practice over the course of the internship, balanced with a
supportive supervisory relationship. In our internship, direct service provision is balanced with
ample time for review, study, and supervision. Interns are encouraged to self-direct their program
and to seek out challenges that are of personal interest to them, but this is balanced with
recognition that core competencies must be acquired, and progress in skill-acquisition is
monitored throughout the year.
Interns will be exposed to diverse client populations while expanding their awareness of the
interaction of professional issues with personal characteristics of both the client and the
professional. Moreover, we honour diversity by inviting all qualified applicants to apply, and by
not discriminating based on age, race, religion, gender, sexual orientation, disability,
socioeconomic status or geographic location. We follow national standards for training, including
an endorsement of research-based knowledge and the scientist-practitioner model. We aim to
provide an atmosphere of caring, integrity, respect, and responsibility toward our patients, our
community, and our profession.
Curriculum and Objectives:
1) Interns will participate in two six-month major rotations and one minor 12-month rotation.
Each intern will carry an active caseload, and will spend approximately (but not exceeding) twothirds of his or her time in direct client care. Interns will also participate in interdisciplinary case
rounds, workshops and conferences, didactic and independent study, and various administrative
activities relevant to psychological services.
2) Interns will develop the ability to review charts to extract pertinent information, formulate
appropriate assessment questions, plan and conduct an assessment, hone clinical interviewing
skills, and interpret and integrate objective and subjective assessment results to form sound case
conceptualizations. Provision of feedback from assessment results to patients and their caregivers
is also an important part of skill development.
3) Interns will learn skills in short-term and longer-term psychotherapy with primarily a cognitivebehavioural focus. They will be exposed to other forms of psychotherapy as opportunities arise.
They will carry a caseload of two or three long-term (up to one year) clients/patients, as well as
several short-term clients (individuals and in groups). Primary goals are to conduct assessments,
develop rapport, formulate cases, plan and implement evidence-based psychological
interventions, as well as to terminate therapy, with a variety of consumers.
4) Interns will be able to establish DSM-5 diagnoses (where appropriate), assess suicide risk,
establish social, emotional, and cognitive status, and to learn the complex interactions between
physical and mental health factors. They will learn to be sensitive to and aware of cultural, racial,
religious, sexual, economic, physical, and linguistic diversity.
5) Interns will develop effective written and verbal communication skills necessary for interacting
with clients, their caregivers, and a variety of other professionals. They will learn to operate
within their competencies, as well as to apply the many other ethical principles by which
psychologists are required to self-monitor.
6) Research activities are considered an important part of a psychologist’s training. This will be
accomplished through reading and critical analysis of relevant clinical literature in the context of
seminars and supervision sessions. Interns will also have the opportunity to engage in in-house
research projects and/or program evaluation, as well as present their research within the
psychology department and at conferences when possible. A research and/or program
evaluation project is mandatory.
7) Interns are expected to provide supervision of a more junior graduate student in Clinical
Psychology. In turn, supervision activities will be overseen by faculty psychologists.
Stipend and Benefits
The annual stipend is $25,000, with three weeks paid vacation, 12 days of sick leave, and 11 paid
statutory holidays. Interns also have the option to take unpaid vacation in addition to their paid
vacation (pre-approval from the internship training director is required). We also offer a
minimum of three education days. However, historically interns have used approximately six
education days over the course of the internship. Interns are encouraged to attend educational
opportunities (such as conferences, workshops, etc.). Blue Cross health insurance (dental,
extended medical, and EFAP; optional) and parking (optional) are available.
Accreditation
We are accredited with the Canadian Psychological Association (CPA Accreditation Office, 141
Laurier Ave., Ottawa, K1P 5J3). As of 2014 we are re-accredited for a six-year
term. We are members of APPIC and CCPPP.
Supervision
In keeping with the Canadian Psychological Association guidelines, interns will have at
least four hours of individual supervision per week, shared between their primary and secondary
supervisors. Supervision hours are protected in our interns’ schedules. Further, most supervisors
have an open-door policy should interns require additional supervision outside of their regularly
scheduled supervision time.
Clinical supervision can take many forms. Review of audio- and/or videotapes of assessment and
psychotherapy and/or co-therapy and/or observation of group or individual therapy may be
appropriate. Discussion of test selection, interpretation, case formulation and diagnosis will be
included in supervision, as will planning and execution of treatment, and revision of reports.
Case conferences, seminars, and individual reading time will augment each intern’s learning.
Interns will meet monthly with the Internship Training Director (ITD) to discuss general ethical
and professional issues, review evaluations when necessary, and to provide opportunities to
‘trouble-shoot’ any general problems or difficulties. Other faculty will offer didactic sessions in a
variety of professional issues as well. Doctoral level licensed psychologists will provide all primary
supervision.
All interns will have the opportunity (and the responsibility) to supervise a predoctoral-level
practicum student. In turn, a member of our faculty will supervise this activity.
Physical Facilities/Support Services
Interns will have access to private workspace to interact with clients/patients and to write
reports. Sharing of offices may be necessary at times, but interns will have access to secure storage
space for confidential documents. We have an excellent supply of testing material, scoring
software, audiovisual equipment, library materials, and journals/textbooks. Private telephones
and voicemail, computer access with e-mail and online abstracts are available, as well as access to
the local university libraries.
Clerical support for many administrative tasks (e.g., ordering materials, scheduling appointments
with outpatients, and typing dictated assessment reports) is available at most rotations.
Evaluation
In the RVH internship program, evaluation is bi-directional. At the beginning of each rotation,
the supervisor and intern will collaboratively develop specific competency-based goals in writing,
with the aim of becoming competent in all general areas of provision of psychological services. It
is expected that each intern is prepared for the licensing process upon graduation from our
program. Each intern’s efforts to attain his/her goals will be reviewed regularly to monitor
progress and mitigate any difficulties that arise. Goals, progress, and any concerns will be
forwarded to the ITD.
Supervisors and interns will complete an evaluation in writing at the end of each rotation. Both
the ITD and the intern will prepare a more formal evaluation at the end of the internship
program. These evaluations are established to assist each intern to recognize areas that need
improvement, and to reinforce strengths. We are dedicated to providing superior training, and so
we benefit from the interns’ evaluative feedback. Supervisors will meet with the ITD quarterly to
discuss interns’ progress, and all issues related to education and professional development.
Didactic Sessions
Faculty members provide didactic sessions on the topics listed below, depending upon staff
availability and interns’ interests. Interns will be expected to read chosen papers/chapters on
these topics and to participate in discussions.
High Priority Topics (preferably first half of year):
1) Reporting abuse
2) Suicide assessment and prevention
3) Confidentiality/interdisciplinary teams
4) Professional boundaries and dual relationships
5) Supervision (part 1, how to make the most of this relationship)
6) Transference and Counter-transference
7) Termination
8) Maintaining Balance/compassion fatigue
9) Personality Disorders
10) Diversity/multiculturalism
Other possible topics:
1) Legal and Court issues
2) Life after the Doctorate/Licensing
3) Private Practice
4) Resistance in Psychotherapy
5) Supervision (Part 2 – how to supervise others)
6) PTSD
7) Persistent Pain
8) Sleep Disorders
9) Substance Abuse
10) Diversity: Spirituality
11) Diversity: Language issues
12) Therapeutic Feedback
13) Hypnosis
14) Motivational Interviewing
15) Mindfulness
16) Neurocognitive Disorders in Psychiatric Diagnoses
17) Tele-health and Technology in Psychology/Healthcare
18) Positive Psychology
19) Prescription Medications
20) Attachment Theory
21) Co-morbidity/Dual-diagnosis
Sample Schedule
We believe that as part of the internship experience interns should learn to work a standard
8:30-4:30 day (37.5 hour work week). Any group psychotherapy is included within the standard
work day. Thus, our interns do not work evenings, weekends, or from home.
Interns complete two 6-month major rotations and one 12-month minor rotation.
Below are two samples of hypothetical rotation schedules:
Monday
Tuesday
Wednesday
Thursday
Friday
Major
Rotation
Major
Rotation
Minor
Rotation
Major
Rotation
Minor
Rotation
Research &
Didactics
Monday
Tuesday
Wednesday
Thursday
Friday
Major
Rotation
Major
Rotation
Major
Rotation
Major
Rotation
Major
Rotation
Minor
Rotation
Minor
Rotation
Research &
Didactics
Minor
Rotation
Description of Rotations
Overview
The River Valley Health Internship program currently offers five major adult rotations. All
rotations are likely available as a minor rotation as well, depending upon supervision and
availability of physical space. Interns will not be expected to participate in a paediatric rotation if
it is not their area of interest.
Faculty who provide primary supervision are listed below. All rotations offer a balance of
assessment, psychotherapy, consultation, seminars, case conferences, individual learning,
interdisciplinary activities, and administrative duties. Note that rotation availability varies
somewhat, depending on supervisor commitments and office space, and the need to balance the
priorities of both interns. We strive to offer interns their top choices for rotations.
Adult Mental Health
DECRH – Supervision by Dr. D. Colquhoun and Dr. M. Richards
URVH – Supervision by Dr. G. Wealleans (likely unavailable 2015-16)
Adult Rehabilitation & Health Psychology
DECRH – Supervision by Dr. D. Snow & Dr. R. Gupta-Rogers
SCCR – Supervision by Dr. S. Morehouse & Dr. R. Mills
URVH – Supervision by Dr. G. Wealleans (likely unavailable 2015-16)
Clinical Neuropsychology (Adult)
SCCR – Supervision by Dr. S. Morehouse, Dr. R. Mills & Dr. J. Savoie
DECRH – Supervision by Dr. D. Colquhoun
Operational Stress Injury Clinic (Adult Mental Health)
OSI – Supervision by Dr. C. Letts
Paediatric Health/Mental Health (Minor rotation)
CMHC (Fredericton) – Supervision by Ms. H. Hamel and Ms. A. Otteson
Adult Mental Health – DECRH rotation
Potential Supervisor(s):
David Colquhoun, Ph.D., L.Psych.
Meghan Richards, Ph.D., L.Psych.
This rotation is located on the adult inpatient psychiatry unit at the DECRH. This is an acute care
unit and hospitalization of patients is relatively short. Interns work as part of an interdisciplinary
team which includes psychiatrists, nurses, occupational therapists, social workers, and community
outreach workers. Patients range in age from young to older adults. Many patients are
diagnosed with anxiety, mood, psychotic-spectrum, personality and adjustment disorders. On this
rotation, interns maintain an active caseload including both inpatients and outpatient and are
involved in assessment, consultation, and psychotherapeutic intervention. Should interns have a
greater interest in assessment or therapy, they may adjust their caseload accordingly. Interns are
expected to attend inpatient rounds and contribute to the care of their patients through
collaboration on an interdisciplinary team and through family meetings when appropriate.
Assessment/Consultation: Referrals for assessment are received primarily for diagnostic
clarification, personality, neurocognitive functioning, and discharge/treatment planning. Should
interns wish to further develop their skills in the area of neurocognitive assessment, they are able
to select appropriate cases from the neuropsychology waitlist (see Clinical Neuropsychology
DECRH rotation for more information about the nature of the referrals).
Intervention: Interns are responsible for the inpatient relaxation training group. Advanced
training in longer term evidence-based psychotherapy is available in this rotation, and interns are
encouraged to maintain a subset of their inpatients as outpatients following their discharge.
Longer-term experience in outpatient intervention is therefore available up to the duration of the
internship year if interest is expressed by prospective interns or internship applicants. This
experience has allowed interns to implement a full course of treatment with patients traditionally
presenting with disorders from the mood and anxiety spectrum. Note: If interns wish to provide
psychotherapy for psychotic disorders, they are encouraged to express this interest early into the
internship such that appropriate referrals can be accessed from the early psychosis program.
Adult Health/Mental Health – URVH rotation (likely unavailable 2015-16)
Potential Supervisor(s):
Gael Wealleans, Ph.D., L.Psych.
Dr. Wealleans is the sole psychologist at the URVH and as such receives the spectrum of inpatient
and outpatient referrals. Interns at the URVH work as part of an interdisciplinary team (Mental
Health Consultation Team) which includes social workers, occupational therapists, ER psychiatric
nursing, and community mental health liaison. Patients range in age from young to older adults.
On this rotation, interns maintain an active caseload including inpatients and outpatients and
engage in assessment, consultation, and therapy. Referrals are received from hospital staff, local
physicians, and from the Stan Cassidy Centre for Rehabilitation. Given the breadth of referrals,
interns can build their caseload with a health psychology or adult mental health focus.
Assessment/Consultation: Referral questions vary but include behaviour that challenges,
capacity/competency issues, neurocognitive evaluation, grief and loss, mood and anxiety
concerns, and treatment planning.
Intervention: Inpatient therapy tends to be short-term and interns primarily provide services to
the oncology and palliative units. Outpatient therapy tends to focus on anxiety, depression,
caregiver burnout, and adjustment concerns. Many (but not all) of these outpatients have chronic
health concerns which may or may not be a focus of treatment. Therapy on this rotation is
primarily of transdiagnostic CBT, Mindfulness, and Acceptance and Commitment (ACT)
orientations. As part of this rotation, interns have the option to facilitate the Cardiac
Rehabilitation group or a mixed health/mental health Mindfulness-Based Cognitive Therapy
group.
Adult Health Psychology – DECRH rotation
Potential Supervisor(s):
Rama Gupta-Rogers, Ph.D., L.Psych.
Dean Snow, Ph.D., L.Psych.
Health psychology at DECRH provides services to most inpatient units within the hospital
including palliative, cardiology, oncology, and endocrinology. On this rotation, interns maintain
an active caseload including inpatients and outpatients, and engage in assessment, consultation,
and therapy. Referrals are received from hospital physicians. Patients range in age from young to
older adults. Interns contribute to the interdisciplinary care for their patients (including family
meetings). As part of this rotation, interns have the option to serve in the Cardiac Rehabilitation
Program (run out of the Woodbridge Centre, 180 Woodbridge St., Fredericton). Clinical
activities in this setting include psychosocial screening, individual consultations and facilitation of
a patient psycho-educational program. Therapy on this rotation is primarily CBT and supportive
therapy and includes exposure to Motivational Interviewing. Interns working in the Cardiac
Rehabilitation Program require CPR certification.
Assessment/Consultation: Referrals tend to focus on depression/anxiety screening assessments,
personality assessment, diagnostic clarification of somatic symptoms, cognitive screening
evaluations, and discharge/treatment planning.
Intervention: Inpatient therapy tends to be short-term and focuses on quality of life, stress
management, grief and loss, anxiety and depression, adjustment to chronic illness, and chronic
pain management. Interns will maintain a subset of their inpatients as outpatients following their
discharge and may also see outpatient clients from our waiting list.
Adult Rehabilitation Psychology – SCCR rotation
Potential Supervisor(s):
Susan Morehouse, Ph.D., L.Psych.
Rebecca Mills, Ph.D., L.Psych.
On this rotation, interns work as part of the SCCR interdisciplinary team, which includes nurses,
physiatrists, physiotherapists, social workers, dieticians, speech language pathologists, recreation
therapists, a respiratory therapist, and occupational therapists. Patients range in age from
adolescents to older adults; most present with physical injuries, neurological injuries, or
neurodegenerative diseases. Interns attend inpatient rounds and contribute to the
interdisciplinary care for their patients (including family meetings). On this rotation, interns
maintain an active caseload including inpatients and outpatients, and engage in assessment,
consultation, and psychotherapy. Often, interns continue to treat former inpatients on an
outpatient basis. This rotation provides a blend of assessment, consultation, and intervention
opportunities.
Assessment/Consultation: Referral questions vary and include: neurocognitive assessment,
personality and behavioural assessment, diagnostic clarification, and discharge/treatment
planning.
Intervention: Inpatient intervention tends to be short-term and focuses on quality of life, chronic
pain management, stress management, behaviour management, anxiety and depression, grief and
loss, and adjustment concerns (related to acquired brain injury, spinal cord injury, cerebral
vascular accidents, and progressive neurological diseases). Longer-term psychotherapy (up to 12
months) with outpatients is usually available. Psychotherapy on this rotation is primarily of CBT,
IPT, and Acceptance and Commitment (ACT) orientations. Cognitive rehabilitation principles are
also followed.
Clinical Neuropsychology – DECRH rotation
Potential Supervisor(s):
David Colquhoun, Ph.D., L.Psych.
This rotation is primarily outpatient assessment. Referrals for assessment are from the neurology
and neurosurgery departments. Referral questions range, and include (not an exhaustive list):
memory and dementia (re)assessment, pre- and post- testing for neurosurgery patients,
ability/impairment assessment for brain cyst and tumor patients, and the assessment of cognitive
changes within psychiatric disorders. We use a flexible battery approach to our assessments. Thus,
some assessments will not proceed past screening, whereas other assessments require
comprehensive assessment with test substitutions due to the patient’s limits or physical limitations.
All patients on this rotation are adult.
Clinical Neuropsychology – SCCR rotation
Potential Supervisor(s):
Susan Morehouse, Ph.D., L.Psych.
Rebecca Mills, Ph.D., L.Psych
JoAnne Savoie, Ph.D., L.Psych.
This rotation includes both in- and outpatient assessment. Referrals for assessment are from the
physiatry, neurology, and neurosurgery departments. Referral questions range, and include (not
an exhaustive list): concussion assessment, dysexecutive syndrome assessment, ability/impairment
assessment following acquired brain injury (e.g., stroke, TBI), and assessment of cognitive changes
related to Parkinson disease, multiple sclerosis, and other progressive neurological diseases. We
use a flexible battery approach to our assessments. Thus, some assessments will not proceed past
screening, whereas other assessments require comprehensive assessment with test substitutions
due to the patient’s limits or physical limitations. All patients on this rotation are older adolescent
or adult.
Operational Stress injury (Adult Mental Health) – OSI rotation
Potential Supervisor(s):
Cindy Letts, Ph.D., L.Psych.
This rotation provides outpatient services and is operated out of the Operational Stress Injury
clinic. Interns work as part of an interdisciplinary team which includes psychiatrists, mental health
nurses, and social workers. On this rotation, interns maintain an active caseload of assessment,
consultation, and therapy. Clients are veterans of the Canadian Forces, active Canadian Forces
members, and eligible members of the Royal Canadian Mounted Police (RCMP). Some services
are offered to client’s family members.
Assessment/Consultation: The purpose of assessment at the OSI clinic is to determine whether the
client currently suffers from an operational stress injury. Interns complete comprehensive
assessments with a focus on psycho-diagnostics and treatment recommendations.
Intervention: Common presentations include anxiety disorders, depression, post-traumatic stress
disorder, substance misuse, and chronic pain as well as other conditions that may be less severe,
but still interfere with daily functioning (including marital and parenting issues). Therapy on this
rotation is primarily of CBT orientation with an emphasis on utilizing evidence-based therapies
(e.g., Prolonged Exposure and Cognitive Processing Therapy).
Pediatric Health/Mental Health – CMHC rotation (MINOR only)
Potential Supervisor(s):
Hélène Hamel, M.Ps., L.Psych.
Amy Otteson, M.A., L.Psych.
On this rotation, interns are a part of the outpatient Child and
Family Team (Fredericton). Interns will work with children and
adolescents ranging in age from 3 to 19 as well as their families
and community (group home, school, etc.)
Assessment/Consultation: Referral questions vary and include
cognitive and psycho-diagnostic assessment. Common
presentations include separation anxiety (including PTSD and
OCD), attachment issues, eating disorders, anxiety and
depression, behavioural issues, emerging personality disorders
and ADHD. Both consultation and outreach to schools are
common.
Intervention: Depending on the age of the client, interns provide individual psychotherapy
(includes play therapy) or family therapy. Although formal family therapy is not provided,
interns are encouraged to take a systems approach, thereby incorporating parents, caregivers, and
teachers into the interventions. Interns will also work to connect families with appropriate
community supports and resources. Depending on the time of the year, interns may have the
opportunity to become involved in psychotherapy groups that are offered to both clients and
their parents (e.g. DBT; CBT group for depression and anxiety; parenting groups).
Faculty
Dr. Everett Chalmers Regional Hospital (DECRH)
David Colquhoun
B.Sc. & M.Sc. (Acadia University), Ph.D. (Dalhousie University), L.Psych.
(1997), UNB Clinical Associate, Professional Practice Advisor
Dr. Colquhoun is a psychologist on the acute inpatient mental health
unit. His inpatient work focuses on psycho-diagnostic and
neuropsychological evaluation of patients with mental health difficulties
or neuropsychiatric disorders. Brief individual psychotherapy is offered,
primarily for the treatment of anxiety, depression, and adjustment
disorders. His orientation is cognitive behavioural. Dr. Colquhoun is
also involved in program evaluation. He currently serves as the
professional practice leader for Horizon Health Network (Fredericton
and Upper River Areas).
Donna Grant
B.Sc. (Acadia University), M.A. (University of New Brunswick),
L.Psych. (1994)
Ms. Grant’s orientations are primarily cognitive-behavioral and
motivational. She performs psycho-diagnostic assessments, and
conducts psychotherapy for in- and outpatients with a variety of
medical problems. She works in Family Medicine, Oncology and
Geriatric and Restorative Care.
Julie Martin
B.A. & M.A. (Concordia University), Ph.D. Candidate (Concordia
University), Resident in Psychology (2014)
Ms. Martin primarily serves the Paediatric Unit and, when
requested, offers some coverage to other medical units within the
hospital. In addition to working with inpatients, she also provides
outpatient services to children and adolescents with medically-related
mental health problems. Her work involves offering consultation,
performing psycho-diagnostic, personality, and cognitive assessments,
as well as providing short-term individual psychotherapy. Her
theoretical orientation is largely cognitive-behavioural, integrating
elements from motivational, interpersonal, and mindfulness-based
approaches as appropriate. On the Paediatric unit, emphasis is placed
on interdisciplinary teamwork, crisis management, discharge and
treatment planning, and recommendations for community-based
follow-up. Ms. Martin is fluently bilingual.
Rama Gupta-Rogers
B.Sc. (McGill), M.A. (Lakehead University), Ph.D. (University of New
Brunswick), L.Psych. (1994), UNB Clinical Associate
Dr. Gupta-Rogers currently serves on inpatient surgical, family practice,
maternity, and palliative care medical units. She also provides
outpatient service for individuals with medically related psychological
problems. She offers consultation, performs psycho-diagnostic
assessments, and conducts psychotherapy for in- and outpatients with a
variety of medical problems. She is currently a member of the regional
pain committee and of the enhancing surgical outcomes committee.
She serves as a Psychology Representative in the HHN Therapeutic
Services Clinical Practice Committee. Her theoretical orientation is
cognitive-behavioural, and she uses hypnotherapy in some of her
clinical work. More recently, she has adopted mindfulness and
acceptance and commitment therapy approaches.
Meghan Richards
B.A. & B.Sc. (University of New Brunswick), M.A. & Ph.D. (Lakehead
University), L.Psych. (2013), UNB Clinical Associate
Dr. Richards is a psychologist on the Adult Mental Health Inpatient
Unit at the DECRH. Her work primarily involves performing psychodiagnostic and cognitive assessments and providing short-term
individual therapy. Emphasis is on differential diagnosis, treatment
planning, crisis resolution, and recommendations for community-based
follow-up. Her work emphasizes both individual and group
interventions using a theoretical orientation that is largely cognitivebehavioral, with techniques drawn from interpersonal and mindfulnessbased perspectives as appropriate.
Dean Snow
B.A. (Brock University), M.Sc. (Memorial University of Newfoundland),
Ph.D. (University of New Brunswick), L.Psych. (2001), UNB Clinical
Associate
Dr. Snow serves on the Oncology Program, Cardiac Unit, and HHN
Zone 3 Cardiac Rehabilitation Program. He also provides outpatient
service to primary care programs. Dr. Snow provides general clinical
assessment and therapy in these programs, in addition to consultation
regarding adherence to medical regimens, and adjustment to illness and
disability. In the Cardiac Rehabilitation Program Dr. Snow provides
individual consultations and group psycho-education around lifestyle
change, stress and depression, and supports program evaluation. He
has a cognitive-behavioural theoretical orientation but includes
interpersonal, motivational, and psychodynamic elements in his
approach. Dr. Snow is a member of the Motivational Interviewing
Network of Trainers (MINT).
Stan Cassidy Centre for Rehabilitation (SCCR)
Rebecca Mills
Internship Training Director
B.A. (Queen’s University), M.Sc. (University of Alberta), Ph.D.
(University of British Columbia), L.Psych. (1999), UNB Clinical
Associate
Dr. Mills is currently a psychologist on the Adult Team. She administers
neuropsychological and psycho-diagnostic assessments to those with
neurological injuries and disorders. She provides psychotherapy
(adjustment, anxiety and mood disorders), pain management,
consulting, and behaviour management interventions to groups and
individuals in neurological rehabilitation. Her orientation is primarily
cognitive- behavioural, with strong interests in psychodynamic,
interpersonal, acceptance, and mindfulness theories.
Susan Morehouse
B.A. & M.A. (University of New Brunswick), Ph.D. (Dalhousie
University), L.Psych. (2000), UNB Clinical Associate
Dr. Morehouse is a psychologist with the Adult Team. She conducts
neuropsychological and psycho-diagnostic assessments to individuals
(aged late teens, adults, and seniors) with neurological injuries and
disorders. She provides psychotherapy (e.g., mood disorders, grief and
adjustment to disability, sleep disorders), pain management, behavioral
management interventions, cognitive compensatory techniques and
education and consultation. Her work includes inpatient and outpatient
neurological populations in both group and individual settings. Dr.
Morehouse uses an integrative approach which is predominately
cognitive behavioral in nature and draws on techniques from
interpersonal, motivational, mindfulness and acceptance perspectives as
appropriate.
Joanne Savoie
B.A. (Saint Thomas University), Ph.D. (University of Ottawa), Postdoctoral fellowship in Neuropsychology (McLean Hospital, Harvard
Medical School), L.Psych. (2000), UNB Clinical Associate
Dr. Savoie is currently a psychologist with the adult interdisciplinary
team. Her primary area of interest is neuropsychological assessment and
consulting. She also provides some inpatient psychotherapy with a
cognitive-behavioural focus. She has a strong clinical interest in
concussion assessment and rehabilitation. She is fluently bilingual.
Julie Villers
M.A.Ps. & Ph.D. (Université de Moncton), L.Psych. (2013)
Dr. Villers is currently a Psychologist for the Paediatric Team. She
spends part of her time providing brief psychotherapy to families with
children and adolescents suffering from neurological disorders as well as
connecting families with local psychological resources. She also
conducts cognitive and neuropsychological assessments. Her theoretical
orientation is mostly cognitive-behavioral, but she also is very
interested in the narrative, interpersonal, and systemic approaches. She
is fluently bilingual.
Community Mental Health Centres (CMHC)
Michelle Hale
B.A. (University of New Brunswick), M.Sc. (Acadia University), Resident
in Psychology (2012)
Ms. Hale is a Resident in Psychology on the Seniors & Adult Teams at the
Fredericton Addictions and Mental Health Centre. She provides
individual and group psychotherapy to adults and older adults with a
variety of mental health issues and conducts neuropsychological and
psycho-diagnostic assessments with the geriatric population. Ms. Hale
provides consultation and psycho-education to families and community
care providers. She is also occasionally involved in program evaluation
and staff training workshops. Her primary theoretical orientation is
cognitive-behavioral. She frequently uses exposure therapy and
Cognitive-Processing Therapy in her work, as well as elements of
motivational interviewing, interpersonal and dialectical-behavioral
therapy.
John Harvey
B.A. & M.A. (University of New Brunswick), M.Div. (University of
Toronto), L.Psych. (1995)
Mr. Harvey works on the Adult Team at the Fredericton Community
Mental Health Centre. His position is a combination of assessment
(cognitive and psycho-diagnostic), and psychotherapy. His orientation is
primarily cognitive-behavioural.
Hélène Hamel
B.Sc. & M.Ps. (Université de Montréal), L.Psych. (1997)
Ms. Hamel is a member of the Child and Family Team at the Fredericton
Community Mental Health Centre. She works with children, adolescents
and their families. Her theoretical orientation is primarily
psychodynamic, and she has particular interests in attachment issues,
eating disorders, relationships, anxiety, depression, and ADHD. She is
fully bilingual.
Sharon Kincade
B.A. (Dalhousie University), M.A. (University of New Brunswick), M.C.
(Athabasca/University of Lethbridge/University of Calgary), CCC,
L.Psych. (2013)
Ms. Kincade is a Psychologist and a member of the Adult Team at the
Fredericton Community Mental Health Centre. Her position involves
providing individual therapy and assessments to adults with a variety of
mental health issues. Her theoretical orientation draws primarily on
cognitive-behavioral, solution-focused, and narrative approaches.
Amy Otteson
B.A. (University of New Brunswick), M.A. (McGill University),
L.Psych. (2011), UNB Clinical Associate
Ms. Otteson is a psychologist on the Child and Adolescent Team at the
Fredericton Community Mental Health Centre. She works on an
interdisciplinary team providing services to children and adolescents
ranging in age from 3 to 19. Her position involves a combination of
individual psychotherapy, assessments (cognitive and psycho-diagnostic),
family and group interventions (including a DBT group for adolescents
and their families). Her theoretical orientation is integrative, drawing
strongly from cognitive-behavioural, dialectical behaviour therapy and
interpersonal/existential approaches. Ms. Otteson is in the process of
developing an expertise in issues related to Transgender Health, is a
member of the Canadian Professional Association for Transgender
Health (CPATH) and enjoys working with gender nonconforming youth
and their families.
Elva McWaid
B.A. & M.Applied Psych. (University of New Brunswick),
L.Psych. (1999)
Ms. McWaid is a psychologist at the Woodstock Mental Health Centre.
She currently works on the Long Term Care Team providing therapeutic
interventions and case management to clients with chronic mental health
problems. Occasionally, she conducts psychological assessments. She has
a strong interest in Dialectical Behavioral Therapy and has played an
active role in conducting and maintaining a DBT skills training group.
Upper River Valley Hospital (URVH), Waterville, NB
Gael Wealleans
R.N. (Furness School of Nursing, UK), B.Sc. & Post Graduate Certificate
of Education (University of Bath, UK), Ph.D. (University of Liverpool,
UK), L.Psych. (2009)
Dr. Wealleans works as a generalist clinical psychologist, serving
patients throughout the hospital, including general medical, mental
health, obstetrics, cardiac care, oncology and palliative care. She
provides assessment for mental health and cognitive functioning,
including capacity/competency issues. She also provides brief
interventions to a wide variety of clientele. She prefers a multi-modal
and integrative approach, using cognitive-behavioural therapy,
acceptance and commitment therapy, mindfulness-based cognitive
therapy, and narrative therapy. She is a strong proponent of Reflective
Practice.
Operational Stress Injury Clinic (OSI)
Cindy Letts
B.A. (Simon Fraser University), M.A. & Ph.D. (University of New
Brunswick), L.Psych. (2009)
As part of the OSI Clinic team, Dr. Letts provides assessment and
treatment to veterans and active Canadian Forces and RCMP
members. She has strong interests in evidence-based treatments and
research. Her primary theoretical orientation is CognitiveBehavioural. Dr. Letts is a certified Prolonged Exposure Therapy
supervisor and a quality-rated Cognitive Processing Therapy
provider.
Mathieu Murgatroyd
B.A. & Psy.D. (Université de Moncton), M.Sc. (University of Keele),
L.Psych. (2014)
Dr. Murgatroyd is a member of the Operational Stress Injury team. He
provides assessment and treatment to veterans and active Canadian
Forces and RCMP members. His theoretical approach is primarily
cognitive-behavioral. He recently received training in Prolonged
Exposure Therapy and is also incorporating Cognitive Processing
Therapy into his work. He is fully bilingual.
Lise-Anne Renaud
B.A. & M.A. (l’Université Laval), L.Psych. (2000)
Ms. Renaud is the Clinical Coordinator of OSI. Apart from
administrative duties, she provides services to veterans and active
members of the military and RCMP. Specifically, she provides
psychological assessment, treatment and consultation. She uses
Cognitive-Behavioural therapy and is also trained in trauma specific
treatment. Specifically, she is a certified consultant in Cognitive
Processing Therapy, and is trained in Prolonged Exposure and EMDR.
She is fully bilingual.
Heather Roxborough
B.A. (University of New Brunswick), M.A. (University of British
Columbia), L.Psych. (2014)
Ms. Roxborough is a member of the Operational Stress Injury team.
She provides assessment and treatment to Canadian Forces veterans
and active and retired RCMP members. She uses cognitive-behavioural
therapy, and also has training in interpersonal, psychodynamic, and
mindfulness-based interventions. She has received training in Eye
Movement Desensitization and Reprocessing and Prolonged Exposure
Therapy, and is also incorporating Cognitive Processing Therapy into
her work. Ms. Roxborough has been involved in committee work at
the OSI Clinic and within Horizon Health and is currently a member
of the Horizon Professional Practice Council.
Eligibility and Application Procedures
At present there are two positions available. Applicants must be from a university-based doctorallevel clinical psychology program. They must have completed their comprehensive exams as well
as defended their dissertation proposals. They must have 600 hours of practicum experience,
with a minimum of 100 face-to-face assessment hours and a minimum of 100 face-to-face
intervention hours (and a minimum of 300 face-to-face clinical hours). They must also have
received a minimum of 100 hours of individual, doctoral-level supervision. Preference will be
given to those in accredited Canadian programs, as well as to Canadian citizens or landed
immigrants. It is preferred that applicants have collected their dissertation data at the time of
application.
All applications are due by November 15th, 2015 for the 2016/2017 year. We use the APPIC
matching procedures (Match Number: 185111). Please complete the APPIC application form
including certification by your Director of Training, three written references, current curriculum
vitae, complete graduate transcripts, and a statement of clinical experience and interests/goals,
which can be included in your cover letter. Interviews will be conducted in person, by
videoconference, or by telephone in January 2016.
Please direct questions or concerns to:
Dr. Rebecca Mills, L. Psych.
Internship Director,
c/o Stan Cassidy Centre for Rehabilitation,
800 Priestman Street,
Fredericton, NB, E3B 0C7
Canada
Telephone: 506-452-5227
Fax: 506-447-4429
Email: [email protected]
Website: www.HorizonNB.ca
Tips for Interviewees
Applicants who are successful selected for interview will be contacted by email in early
December. We offer the majority of our interview timeslots in January. However, we will also
offer a few timeslots in late December, 2015.
Normally our interviews take place at the Stan Cassidy Centre for Rehabilitation (800 Priestman
St., Fredericton, NB). Interviewees have the options of in-person, videoconference, or telephone
interview. Interviews are approximately one hour in length during which interviewees will meet
with a panel of three psychologists. Following the interview, interviewees will have the
opportunity to meet with the current interns for a tour of the Stan Cassidy Centre and Dr. Everett
Chalmers Hospital as well as time to ask the current interns questions. Interns are not part of the
selection committee and conversations between our current interns and the interviewees are
completely confidential.
For those interviewing in person, the Fredericton International Airport
(www.frederictonairport.ca/) primarily services Air Canada flights. Checker cab (506-450-8294)
is the designated airport taxi service and provides a flat rate into downtown Fredericton for
approximately $23. Alternatively, a number of other taxi companies are based in Fredericton.
For interviewees who intend to rent a car while in Fredericton, Avis, Budget, Enterprise, and
National all offer rental car services from the Fredericton Airport. Suggestions for hotels can be
obtained by the current interns or from the Training Director.
For a virtual tour of the Stan Cassidy Centre for Rehabilitation, please visit:
http://www.youtube.com/watch?v=7jckZWx8Ehs